neaaform.gif Norwegian Elkhound
Association of America

NORWEGIAN ELKHOUND ASSOCIATION OF AMERICA, INC.
FUTURITY/MATURITY STAKE LITTER NOMINATION FORM

Dam: AKC#
Sire: AKC#
Date of breeding: Number Assigned by Futurity Chairperson:
List first NEAA member breeder of record as contact, followed by other breeders
Breeder/s of Record:


Contact Information
Address:
City:
State:
Zip:
E-Mail:
Phone:
I hereby nominate the above litter for the next Futurity/Maturity Stake. I am a member in good standing with the NEAA.
Signature:
Fee: $30 Prior to whelping or $70 after whelping
Return form to:
Marlene Schlichtig, NEAA Futurity/Maturity Chairperson
9403 Van Buren Street
Seabrook, MD 20706
ph: 301-577-4786
wilmarne@verizon.net
Check # Date: